| Madison Chirotherapy Pllc | |
|
126 Sw Sumatra Ave Unit C, Madison, FL 32340-1458 | |
| (850) 253-2326 | |
| (850) 253-2381 |
| Full Name | Madison Chirotherapy Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 126 Sw Sumatra Ave Unit C, Madison, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174047609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH12200 (Florida) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (Florida) | Secondary |
| Provider Name | Ashley Wambolt Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811328099 PECOS PAC ID: 8123257334 Enrollment ID: I20140211001293 |
| Provider Name | Joseph Murray Herring |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164802476 PECOS PAC ID: 1052620614 Enrollment ID: I20180726002657 |
| Provider Name | Lavonte Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023613247 PECOS PAC ID: 6507272424 Enrollment ID: I20210301001866 |
| Provider Name | Caspertine Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306502083 PECOS PAC ID: 4284026550 Enrollment ID: I20220518000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Chirotherapy Pllc 126 Sw Sumatra Ave Unit C, Madison, FL 32340-1458 Ph: (850) 253-2326 | Madison Chirotherapy Pllc 126 Sw Sumatra Ave Unit C, Madison, FL 32340-1458 Ph: (850) 253-2326 |
Madison Chiropractic Center, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 126 Sw Sumatra Ave Unit A, Madison, FL 32340 Phone: 850-973-2424 Fax: 850-973-2684 | |
Dr. Joseph Murray Herring, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 126 Sw Sumatra Ave Unit C, Madison, FL 32340 Phone: 850-253-2326 Fax: 850-253-2381 | |
Dr. Carl D Bartholomew, DC, MD Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Sw Range Ave., Madison, FL 32341 Phone: 850-673-8338 Fax: 850-253-0069 | |
Diocese Of Florida Hoc-aj Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 235 Sw Dade St, Madison, FL 32340 Phone: 850-673-8338 Fax: 850-948-2822 |